Use of Stent Grafts and Coils in Vessel Rupture and Perforation

Yeo, Khung Keong; Rogers, Jason H.; Laird, John R.

doi:10.1111/j.1540-8183.2007.00302.x

Cited by 44 publications

(30 citation statements)

References 75 publications

(175 reference statements)

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“…The coils (Fig. 17) are made of dense polyester fibers, designed to provide compact and complete vascular occlusion and promote vascular thrombosis; these are commonly used by interventional radiologists for selective embolization of blood supply to arterio-venous malformations, pseudoaneurysms and tumors [35]. They are designed for easy advancement through dedicated microcatheters (which are usually supplied with the device) and a platinum or stainless steel platform enhances visualization under fluoroscopy.…”

Section: Devices and Materials For Perforationmentioning

confidence: 99%

“…There are four morphology types: Type I (extraluminal crater without extravasation), Type II (pericardial or myocardial blushing), Type III (extravasation through frank, !1 mm, perforation) and Cavity Spilling (perforation into anatomic cavity chamber, coronary sinus, etc). The best strategy for treating coronary perforations is determined by the type of rupture and the clinical circumstances [32,34,35].…”

Section: Coronary Perforation And/or Rupturementioning

confidence: 99%

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Crossing CTOs—The tips, tricks, and specialist Kit that can mean the difference between success and failure

Godino

Sharp

Carlino

et al. 2009

Cathet Cardio Intervent

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Percutaneous coronary intervention (PCI) for chronic total occlusions (CTO) remains one of the major challenges in interventional cardiology. The appropriate use of the rapidly increasing range of tools available to interventional cardiologists is bringing more and more CTOs into the 'treatable' category. The bar has now been raised to 80% success rates by some expert operators around the world, which, in our view, cannot be achieved without a thorough understanding of technique and technical know-how. CTO procedures are increasingly becoming a sub-specialist field within interventional cardiology and we would encourage centers to consider appointing 'super-specialists' who are able to concentrate experience and expertise in this area. In this paper we detail the principal characteristics of the over the wire balloons, microcatheters and guidewires at present available, the most popular and recent of which are listed in Table 1 and 2. The knowledge and the specific choice of these materials and the criteria for selection of your guidewire or microcatheter can mean the difference between success and failure. Moreover, we discuss on the most important and groundbreaking techniques to approach a CTO. Finally, considering the greater risk of coronary perforation related to a CTO procedure compared to routine PCI, we describe which are best strategy and devices for treating coronary perforations and other major complications.

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Section: Devices and Materials For Perforationmentioning

confidence: 99%

Section: Coronary Perforation And/or Rupturementioning

confidence: 99%

Crossing CTOs—The tips, tricks, and specialist Kit that can mean the difference between success and failure

Godino

Sharp

Carlino

et al. 2009

Cathet Cardio Intervent

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show abstract

“…21 The stiff tube lies in communication with the arterial wall and when spanning an aneurysmal dilation, relieves the pressure on the weakened arterial wall. Stentgrafts are used most commonly to treat abdominal aortic aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Renovascular Hypertension Associated With Pseudoaneurysm Following Blunt Trauma

Judd

Lockhart

Rizk

2013

American Journal of Kidney Diseases

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We present the case of a 21-year-old man who developed a renal artery pseudoaneurysm following a 7-foot fall onto his back. He initially presented with gross hematuria, left flank pain, and back pain. He was observed in the hospital for 3 days and discharged. One week later, he was readmitted with headache, nausea, vomiting, seizure activity, and hypertension. Contrast-enhanced computed tomography of the abdomen showed a left renal artery pseudoaneurysm with associated arterial narrowing and delayed ipsilateral renal enhancement. He underwent percutaneous stent-graft placement with resolution of the pseudoaneurysm. He was free of complications and normotensive off antihypertensive medications after 36 months of follow-up. Renal artery pseudoaneurysms are rare and under-recognized complications of blunt abdominal or back trauma that can cause hypertension. Imaging modalities in renovascular hypertension have focused on detecting renal artery stenosis from atherosclerotic disease or fibromuscular dysplasia, with little attention given to renal artery pseudoaneurysms. In addition, first-line treatment for renal artery pseudoaneurysms historically has consisted of angioembolization, yet percutaneous stent-graft placement has emerged as an attractive alternative to preserve vessel patency. We discuss the role of imaging in renovascular hypertension with a focus on renal artery pseudoaneurysms and their prevalence, diagnosis, and treatment.

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“…Nowadays, the endovascular device is progressing dramatically [10]. For the vascular injury or the aneurysmal lesion, several types of covered stent are developed and the usefulness has been confirmed [1,2,9].…”

Section: Discussionmentioning

confidence: 99%

A case of iliac artery injury treated by covered stent during carotid artery stenting

et al. 2013

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1 SummaryA case of iliac artery injury during carotid artery stenting (CAS) treated by covered stent. A 74 year-old man underwent CAS for the asymptomatic right carotid artery stenosis. Under local anesthesia, right common femoral artery was punctured and 8 Fr long sheath introducer was placed. However, the sheath kinked because the iliac artery was tortuous. We introduced the stylet to the sheath again and tried to extend the kinking. It was failed and the arterial dissection was identified at the lateral iliac artery.The kink was extended with triple coaxial system, i.e. guidewire, coaxial catheter, and guiding catheter. And CAS was performed with distal filter protection. Before removal of the sheath, right iliac artery was examined and extraversation of the contrast medium was observed. The balloon catheter was placed to the lesion and dilated for the hemostasis. However, it was failed, and then the covered stent was placed subsequently.Although blood test revealed anemia and CT showed retroperitoneal hematoma after the treatment, further complication did not occur. Treatment with covered stent for the vessel injury was effective.

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Use of Stent Grafts and Coils in Vessel Rupture and Perforation

Cited by 44 publications

References 75 publications

Crossing CTOs—The tips, tricks, and specialist Kit that can mean the difference between success and failure

Crossing CTOs—The tips, tricks, and specialist Kit that can mean the difference between success and failure

Renovascular Hypertension Associated With Pseudoaneurysm Following Blunt Trauma

A case of iliac artery injury treated by covered stent during carotid artery stenting

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